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Organization

DENTISTRY AT PORTAGE LAKES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KYLE WESTHAFER DDS (OWNER)
(330) 614-9511
Entity
Organization

Contact information

Practice address
667 W TURKEYFOOT LAKE RD, NEW FRANKLIN, OH 44319-3452
(330) 644-9511
Mailing address
667 W TURKEYFOOT LAKE RD, NEW FRANKLIN, OH 44319-3452
(330) 644-9511

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
12/04/2023
Last updated
12/04/2023
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